ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: Using simple, clear language when explaining procedures helps reduce anxiety and prevent misunderstandings that could trigger a panic attack. Group therapy may increase anxiety, choosing activities doesn't directly address symptoms, and avoiding triggers prevents learning to manage them.
Question 2 of 5
A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Rapid mood changes, hallucinations, and restlessness are common in delirium due to fluctuating cognitive status, sensory misperceptions, and agitation. Slow speech and unaltered consciousness are not typical.
Question 3 of 5
A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?
Correct Answer: C
Rationale: Clients with PTSD often avoid discussing the traumatic event to prevent distressing memories. Increased startle response, sleep disturbances, and varied symptom onset are more typical.
Question 4 of 5
A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?
Correct Answer: C
Rationale: Validation therapy involves accepting the client's perception of reality and responding in a way that acknowledges their feelings and experiences. For a client with dementia who believes a doll is their infant child, this technique provides comfort and reduces distress by not challenging their beliefs. Cognitive reframing and thought stopping are not suitable for dementia delusions, and operant conditioning does not validate the client's experience.
Question 5 of 5
A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply)
Correct Answer: A,B,D
Rationale: Grandiosity, flight of ideas, and hyperactivity are hallmark behaviors of a manic episode in bipolar disorder, reflecting inflated self-esteem, rapid thought shifts, and increased energy. Splitting is associated with borderline personality disorder, and withdrawal is typical of depressive episodes, not mania.